Remote Back-Office Insurance & Credentialing Specialist

Go Lean Health; Compostela; Remote; PHP 431,000 - 517,000; Full time

Job summary

Go Lean Health seeks a Back-Office Insurance Specialist to support a nonprofit US behavioral health organization. The role focuses on insurance verification, authorizations, and enrollment-related administrative tasks to move patients through enrollment and care preparation.

The position requires strong organization, attention to documentation, and the ability to navigate multiple payer requirements across commercial plans and Medicaid within a remote setting.

Qualifications

• Previous healthcare experience with substantial responsibility for insurance verification and prior authorizations.
• Experience working with US commercial insurance plans, Medicaid, or both.
• Experience contacting insurance companies and using payer portals.
• Strong understanding of healthcare eligibility and authorization workflows.
• Experience using an EHR or practice-management system.
• Strong administrative documentation and data-entry skills.
• High attention to detail and accuracy.
• Strong follow-up, organization, and task-management skills.
• Professional verbal and written English communication.
• Ability to work independently and manage multiple pending cases.
• Strong understanding of HIPAA and patient confidentiality requirements.
• Reliable attendance and punctuality.

Responsibilities

• Verify patient eligibility and applicable benefits with commercial insurance plans and Medicaid.
• Review payer information and document verification results in AdvancedMD and related clinic systems.
• Identify insurance requirements, coverage issues, or missing information for enrollment.

Skills

Insurance verification

Prior authorizations

English communication

Attention to detail

Documentation / data-entry

Independent work

HIPAA compliance

Tools

AdvancedMD

Payer portals

Job description

Go Lean Health seeks a Back-Office Insurance Specialist to support a nonprofit US behavioral health organization. The role focuses on insurance verification, authorizations, and enrollment-related administrative tasks to move patients through enrollment and care preparation.

The position requires strong organization, attention to documentation, and the ability to navigate multiple payer requirements across commercial plans and Medicaid within a remote setting.